• Title/Summary/Keyword: Nursing Interventions

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유방암환자의 통증과 우울의 관계

  • Han, Yeong-In;Han, Jeong-In;Son, Su-Gyeong
    • Korean Journal of Hospice Care
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    • v.5 no.2
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    • pp.22-32
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    • 2005
  • Purpose : The purpose of this study were to identify the relationship of depression and pain in patients with breast cancer. Method : The data was collected from 117 breast cancer patients who were admitted at K University hospital in Busan, from January 4, to January 31, 2003 using questionnaire method. Their depression was measured using depression scale developed by Zung(1965) and translated by Song(1977) and pain was measured using the Revised Melzack Pain Scale developed by Melzack(1975). The data were analysed by the SPSS WIN 11.0 PC program using frequency and percentage, t-test, ANOVA, Pearson Correlation Coefficient. Result : The results of this study were as follows: The mean and standard deviation of the total depression score were 48±7.89 in 20(lowest)-to-80(highest) scoring system. The analysis of the depression according to general characteristics of the breast cancer patients showed correlation at Age(F=5.81, p=.000), Education level (F=7.48, p=.000), Insurance for cancer(t=6.94, p=.010), Period after Dx(F=6.85, p=.001), Duration of pain experience(F=9.74, p=.000), Surgical method(F=3.87, p=.005), Stage(F=10.31, p=.000), and Lesion site(F=20.63, p=.000). The mean and standard deviation of the total pain score were .48± .40 in 0(lowest)-to-4(highest) scoring system. The analysis of the pain according to general characteristics of the breast cancer patients showed differentiation at Education level(F=3.75, p=.007), Income per mouth(F=3.77, p=.010), Period after Dx(F=3.77, p=.002), Duration of pain experience(F=5.48, p=.000), Stage(F=10.39, p=.000), and Lesion site(F=8.10, p=.000). There was a significant positive correlation between depression and pain(r=.37, p=.000) and between depression and discomfort(r=.37, p=.000). Conclusion : Patients with breast cancer experiencing depression and pain. Increase in depression was associated with increase in pain and discomfort. Nurses must provide patients with nursing care about the occurrence of depression and interventions to deal with pain control and prevent discomfort.

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A Systematic Review of Illness Perceptions Using the IPQ-R or BIPQ in South Korea (질병지각에 대한 체계적 문헌고찰 - 국내 학술지 논문을 중심으로 -)

  • Kim, Hyejin;Byun, Jinyee
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.432-441
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    • 2019
  • We systematically reviewed the studies administering the Illness Perception Questionnaire-Revised (IPQ-R) or the Brief Illness Perception Questionnaire (BIPQ) in South Korea. Following the PRISMA guidelines, a literature search of 4 electronic databases was conducted, yielding 10 relevant articles. All studies used a cross-sectional design and the majority of the studies (n = 7; 70%) used the total scores of the BIPQ. The factors related to participants' illness perceptions were coping strategies or health outcomes such as depression, quality of life, self-care, and social support; however, findings suggested that such factors varied across the studies. This review highlights the need for using each dimension of illness perception to examine which perceptions are most strongly related to outcomes, and need for considering an individual's illness perceptions when developing biobehavioral interventions.

Comparative Effects and Ranks of Pressure Ulcer Preventive Programs in Intensive Care Units: A Network Meta-analysis (중환자실 욕창예방 프로그램 효과의 비교순위: 네트워크 메타분석)

  • Ko, Ji Woon
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.563-572
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    • 2021
  • This study conducted a network meta-analysis to compare the effectiveness and ranking of pressure ulcer preventive programs in intensive care units. A frequency network meta-analysis was performed to identify evidence from relevant randomized control trials. A total of 10 randomized control trials involving 5 intervention subgroups were included in this study. Based on the ranking probabilities(P-Score), preventive materials was ranked as the most effective among all programs (P-Score 85.3.%: OR=0.12, 95% CI: 0.03, 0.49). Next was silicone foam dressing(P-Score 84.5%: OR=0.14, 95% CI: 0.05, 0.38), care bundle(P-Score 60.0%: OR=0.29, 95% CI: 0.07, 1.25), reposition (P-Score 32.3%: OR=0.66, 95% CI: 0.21, 2.09) and synthetic fabrics (P-Score 23.8%: OR=0.85, 95% CI: 0.20, 3.65). It is necessary to develop practical and efficient interventions that can prevent pressure ulcers in intensive care unit patients, improve patient safety, and reduce nurses' workload.

Analysis of Experiences of Forgetfulness due to Subjective Memory Impairment in The Elderly (노인의 주관적 기억장애로 인한 건망증 경험 분석)

  • Kim, Doo Ree;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.83-92
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    • 2019
  • This qualitative study employed focused group interviews to collect data on the forgetfulness experienced by elderly persons (over the age of 65) who suffer with subjective memory impairment. The participants were ten elderly persons who participated in the cognitive function improvement program at an elderly welfare center in D city. They were divided into three groups that were comprised of three/four people each, and each group was interviewed for 40~60 minutes. The results showed that "difficulties in human relations", "feeling uncomfortable in daily life", "exposure to a safety risk", "inexpressible ambivalence" and "family effort to overcome forgetfulness" were all expressed in the interviews. The elderly who participated in this study and who complained of subjective memory impairment had both feelings of anxiety and anxiety about non-dementia, and they were making efforts to overcome forgetfulness themselves. Based on this study, we suggest that interventions should be developed that reflect the individual needs of elderly people with subjective memory impairment.

Factors Related to Allergic Rhinitis in Korean Adults (한국 성인의 알레르기 비염 관련요인)

  • Lee, Jaeyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.749-757
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    • 2018
  • This study was conducted to investigate the factors associated with allergic rhinitis in Korean adults. The investigation was based on secondary data analysis using the National Health and Nutrition Survey data. The subjects of this study were 5,841 adults aged 19 years or older who participated in the National Health and Nutrition Survey for the first year (2016). The collected data were analyzed by complex sample multiple logistic regression analysis using SPSS Statistics 24. The prevalence of allergic rhinitis was 15.4%. In addition, factors related to allergic rhinitis included gender, age, marital status, stress, depression, asthma and atopic dermatitis. The results of this study can be used as basic data for policy and interventions to prevent allergic rhinitis and manage symptoms.

Characteristics of people who drink alone -Focusing on the differences between old-city regions and other regions in Busan- (스트레스와 혼술과의 관련성 - 부산시의 구도심과 구도심을 제외한 부산 지역을 중심으로 -)

  • Lee, Hyo-Young;Im, Hyuk;Kim, Hye-Sook;Kim, Min-Jung
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.149-162
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    • 2019
  • Objectives: The purpose of this study was to identify differences in characteristics of the people who frequently drink alone between those in old-city regions and those in other regions in Busan, focusing on socio-demographic factors and the level of drinking according to the types of stress. Methods: The analysis confirmed the differences based on Busan Social Statistics Data in 2012, 2014, and 2016. Frequencies by each variable were presented, and ${\chi}^2$ and logistic regression analysis were also used in the analysis. Results: The residents of Busan showed higher odds ratios of "frequent drinking alone" when they felt considerably higher-than-normal levels of stress. In addition, in the residents of old-city regions, the odds ratios of those who frequently drank alone were not different between people who could easily relieve stress, who experienced economic stress, or who had relationship stress and people who did not. However, higher odds ratios of frequently drinking alone were reported when such participants felt some stress related to work, family, relationships, and so on. Conclusions: Interventions for the appropriate relief of stress caused by different reasons, as well as other stress-relieving methods, should be implemented for the people's benefits.

Analysis of Factors Affecting Medication Adherence to Improve Life Care in Patients with Hypertension (고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인 분석)

  • Gil, Eun-Ha
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.213-224
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    • 2020
  • Purpose: This study is a descriptive and secondary analytical study that uses panel data to identify the factors of medication adherence to improve life care of hypertensive patients. Methods: The subjects of this study were 2,484 patients who were taking medication after hypertension using Korea Medical Panel 2015 data (β-version 1.0). Data analysis was performed using Chi-Square, Scheffe's test, and logistic regression using SPSS/win 22.0. Results: The level of medication adherence in patients with hypertension was 94.2%. The factors of medication adherence were gender and age in Model I of demographic factors, and the presence of disability, smoking, and drinking in Model II. Model III, which added drug use factors, was identified as drinking, drug duration, side effects, drug satisfaction, and payment of drug costs. Conclusion: In order to improve life care for hypertension patients, education and interventions on the importance of take medication and side effects of medications and how to take them will be needed in the early stages of diagnosis.

A Study of Intention to Stay, Reality Shock, and Resilience among New Graduate Nurse (신규간호사의 재직의도와 현실충격 및 극복력)

  • Kim, Soyoung;Hyun, Myung-Sun
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.320-329
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    • 2022
  • The purpose of this study was to identify factors influencing intention to stay among new graduate nurses. The participants were 127 new graduate nurses working at A University hospital in Gyeonggi Province. Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. The results showed that job satisfaction, reality shock, working period, and resilience were significant predictors of intention to stay and explained for 44.2% of the variance in intention to stay. The findings of this study suggest that interventions focusing on reducing the reality shock through pre-experiences or trainings in clinical situations and enhancing the resilience are needed to improve intention to stay for the new graduate nurses. Also it is necessary to establish a support system and work environment to improve nursing job satisfaction, and a long-term education program of more than 6 months is needed to help new nurses adapt to work.

Effects of Somatic Symptoms, Aging Anxiety and Social Support on Depression in Middle-aged Women (중년여성의 신체화 증상, 노화불안, 사회적 지지가 우울에 미치는 영향)

  • Lee, Nan-Young
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.847-855
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    • 2022
  • The purpose of this study is descriptive research to understand the effects of somatic symptoms, aging anxiety, and social support of middle-aged women on depression. Data collection was conducted from March 2020 to May 2020 using a structured questionnaire from a sample of 110 middle-aged women. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Kruskal-Wallis test, Pearson's correlation coefficients and multiple linear regression analysis using SPSS Window 25.0 program. As a result of the study, the influence factors on the depression were confirmed by the somatic symptoms(β=0.42, p<.001), aging anxiety(β=0.35, p<.001) and total explanatory power of the variables was found to be 48.0%. Therefore, based on the result of this study, it suggests that more research is needed a program that considers somatic symptoms and aging anxiety when developing interventions to reduce depression and to verify the effectiveness.

Effects of Trunk Stability Exercise and Hip Exercise on Lumbar Range of Motion, VAS, Disability Chronic Low Back Pain Patients (체간 안정화 운동과 고관절 운동이 만성 요통 환자의 허리가동범위, 통증, 장애정도에 미치는 영향)

  • Park, Chan-ho;Yang, Yeong-sik;Jeong, Yong-sik
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.45-55
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    • 2022
  • Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.